Elder Care

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Elder Care

1 .

Primary Care of the Older Adult: A Multidisciplinary Approach
by Mary M. Burke, Joy A. Laramie. 678 pgs.

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Multidisciplinary in its presentation, Primary Care for the Older Adult is written for professionals and examines the common conditions and problems faced by older people. The book covers clinical, social, ethical and legal aspects of such care.

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Title Page

Primary Care of the Older Adult: A Multidisciplinary Approach

Contributors

Preface

Contents

Introduction to the Text

1: Health Assessment and Health Maintenance Screening

Unit 1

2: Exercise

3: Nutrition

4: Stroke Prevention

Unit II

5: Clinical Pharmacology

6: Aging Skin

7: Respiratory System

8: The Aging Cardiovascular System

9: Gastrointestinal Conditions

10: Indocrine Conditions

11: Osteoporosis

12: Musculoskeletal: Common Injuries

13: Musculoskeletal Common Disoders

14: Reproductive : Benign Prostatic Hyperplasia

15: Reproductive : Menopause

16: Neurologic: Parkinson's Disease

17: Dementia

18: Neurologic: Depression/Suicide

Unit III

19: Sensory Impairment

20: Sleep Disordes

21: Pressure Ulcers

22: Foot Problems

23: Falls

24: Incontinence

25: Constipation

26: Driving

Unit IV

27: Alcohol Abuse

28: Abuse and Neglect

29: Grief

30: Caregivers

31: Demographics: the Older Population in the United States

Unit V

32: Health Care Delivery System

33: Ethics

Appendix A: Minimum Data Set for Nursing Home Resident Assessment and Care Screening (v2)

Appendix B: Medicare Home Health Care Quality Assurance and Improvement Demonstration Outcome and Assessment Information Set (oasis-B)

Appendix C: Advanced Practice Nurse Legislation

Index
2 .

Empowering Frail Elderly People: Opportunities and Impediments in Housing, Health, and Support Service Delivery
by Leonard F. Heumann, Mary E. Mccall, Duncan P. Boldy. 282 pgs.

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This book provides a unique analysis of provider-, environment-, client-, and societal-based obstacles to the empowerment of frail elderly persons in a philosophical framework of social values, as well as an applied framework wherein a variety of international case studies by a distinguished board of contributors provide concrete examples of the feasibility of achieving real empowerment.

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Contents

Preface

Part I: Introduction

1: Empowerment: Definitions, Applications, Problems, and Prospects

2: Opportunities and Impediments in Housing, Health, and Support Service Delivery

Part II: Service Providers and Empowerment: Information, Training, and Coordination

3: Promoting Empowerment in Residential Aged Care: Seeking the Consumer View

4: Reimagining Senior Empowerment in Service Delivery: Creative Applications in a Global Context

5: Retaining and Expanding Empowerment in the Transition from a Family to a Community-Oriented Support System: Japan in the 21st Century

6: Empowerment in Post-Reform Community Care in England and Wales

Part III: Environment and Empowerment in Conventional Housing

7: Another Way of Living in One’s Own Home: The Salmon Group Projects

8: The Role of the Built Environment in Holistic Delivery of Home- and Community-Based Care Services to Frail Elderly Persons

9: When Community Planning Becomes Community Building: Place-Based Activism and the Creation of Good Places to Grow Old

Part IV: Client Empowerment in Long-Term Care

10: The Rights of Elderly People in a Nursing Home—A Little Creativity, a Lot of Respect, a Taste for Adventure, and an Allergy to Bureaucracy

11: Bringing Managed Health Care Home: a New Service Strategy for People with Chronic Illnesses and Disabilities

12: Elderly Persons with Severe Mental Illness: Empowering a Neglected and Growing Population

13: Older People with Longstanding Disabilities and Their Caregivers: Empowering a Neglected and Growing Population

Part V: Overview and the Future

14: Empowerment in Pathways through Care: a Cross-National Comparison of Care Delivery Systems in Britain and Germany

15: Empowerment of Frail Elderly People and the Vision of a Self-Actualized Society

References

Index

About the Editors and Contributors
3 .

The Frail Elderly: Problems, Needs, and Community Responses
by Carole Cox. 212 pgs.

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Contents

Preface

Chapter One Overview

Chapter Two Defining Frailty

Summary

Chapter Three Policies Towards the Frail Elderly

Summary

Chapter Four Community Responses

Summary

Chapter Five Housing Needs and Options

Summary

Chapter Six Families and the Frail Elderly

Summary

Chapter Seven Ethnicity and Frailty

Summary

Chapter Eight Innovations in Community Responses

Summary

Chapter Nine Conclusion

References

Index

About the Author
4 .

Care for Frail Elders: Developing Community Solutions
by Walter N. Leutz, John A. Capitman, Margaret MacAdam, Ruby Abrahams. 304 pgs.

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Leutz and his colleagues address a critical gap in health-care services for the elderly who live in the nation's communities. They provide practical guidance for implementing a community-based program of care and present new analyses of the range of needs among the frail aged. The book shows that planners and providers ought to consider differences in gender, culture, and individual status when determining health care needs. The authors carefully evaluate the range of needs, including demographics, gender and cultural differences, public and responses, and the effectiveness of Medicare and Medicaid.

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Title Page

Contents

Tables

Foreword

Acknowledgments

Chapter 1 Introduction

Chapter 2 What is Long-Term Care and Who Needs It?

Chapter 3 State Infrastructure for Long-Term Care: Criteria for Adequacy

INTRODUCTION

INTRODUCTION

Chapter 4 Understanding and Measuring Quality of Care

Chapter 5: Practice and Design Variations in Community Care Management

INTRODUCTION

Chapter 6 Home-Care Personnel Issues: the Hidden Challenge in Community Care

CONCLUSION

Chapter 7 Aging Differently: Issues of Gender and Race

Chapter 8 Program Benefits and Costs: What We Cover and How We Pay

CONCLUSION

Chapter 9 Social Benefits and Costs: Public Responsibility for Community Care and How It Should Be Borne

Chapter 10 Private Insurance Models

CONCLUSION

Chapter 11 National Medicaid and Medicare Strategies

CONCLUSION

Chapter 12 Conclusion

Glossary

References

Index

About the Authors
5 .

The Care of Tomorrow's Elderly
by Marion Ein Lewin, Sean Sullivan. 198 pgs.

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Contents

Acknowledgments

Contributors

1: Overview

Summaries of the Chapters

2: Wealth and Poverty Among the Elderly

Notes

3: Health Policy: Spending More and Protecting Less

Notes

4: Economic Growth and the Health Care Budget

Summary and Conclusions

Conclusions

6: The Increase in Early Retirement Since 1969

Notes

7: Reforming Medicare and Medicaid

Notes

8: Matching Policies for Retirement Years with Changing Demographic and Economic Conditions

Notes

9: Can the Elderly Afford Long-Term Care?

Notes

10: Strategies for Financing Long-Term Care

Conclusion

Notes

11: The Elderly R" Us"

Index

About the Editors
6 .

Caring for the Disabled Elderly: Who Will Pay?
by Alice M. Rivlin, Joshua M. Wiener, Raymond J. Hanley, Denise A. Spence. 318 pgs.

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THE BROOKINGS INSTITUTION

Foreword

The Brookings Advisory Panel on Long-Term Care

Contents

PART I Overview

Chapter One: Introduction and Summary

Chapter Two: The Model and the Base Case

PART 2 Private Sector Strategies for Reform

Chapter Three: Introduction to Private Sector Strategies

Chapter Four: Private Long-Term Care Insurance

Chapter Five: Continuing Care Retirement Communities

Chapter Six: Social/Health Maintenance Organizations

Chapter Seven: Individual Medical Accounts

Chapter Eight: Home Equity Conversions

Chapter Nine: Private Sector Approaches and Delivery System Reform

Chapter Ten Introduction to Public Sector Strategies

Chapter Eleven Block Grants

Chapter Twelve: Family Responsibility

Chapter Thirteen: Support for Unpaid Caregivers

Chapter Fourteen: Expanded Home Care

Chapter Fifteen: Liberalized Medicaid

Chapter Sixteen: Public Long-Term Care Insurance

PART 4 What Should Be Done?

Chapter Seventeen Recommendations for Financing Long-Term Care

Technical Appendix

Notes

Index
7 .

Wages for Caring: Compensating Family Care of the Elderly
by Nathan L. Linsk, Sharon M. Keigher, Lori Simon-Rusinowitz, Suzanne E. England. 283 pgs.

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This volume examines policies and programs of compensation for family caregivers of the disabled elderly from a broad analytical perspective, weighing current policies of home care services against principles of access, equity, quality, and funding of long-term care. The authors focus on programs and policies that already exist which could be adjusted to include families and to promote support of family caregiving. In assessing the potential of broad implementation of wages for caring, they contend that if implemented appropriately, family compensation may offer benefits not available through any other kind of service system.

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Contents

Tables and Figures

Preface

Part One: Compensated Family Care for the Elderly In the United States and Other Nations

1: Care of the Elderly: Shared Responsibilities

2: Policy Contexts and Dimensions For Compensated Family Care

3: Family Compensation For Care of the Elderly In Other Nations: Options, Lessons, And Evolving Concerns

Notes

4: State Policies Regarding Compensated Family Caregiving in the United States

Note

Part Two: Policy at Work in Two Statewide Community Care Programs

5: Policy Divergence in Michigan and Illinois: Home and Community-Based Care Models

Note

6: Agency Services in Support of Family Caregiving in the Illinois Community Care Program

Note

7: Compensating Kin for Care: Provider Agency Views Of Policies, Agency Operations, And Impact on Caregivers and Consumers

Note

8: Perspectives of Illinois Policymakers And Program Administrators

9: Michigan Administrators View Compensated Family Care: the Adult Home Help Program

Note

10: Consumer Responses to Compensated Family Care

Note

Part Three: Impacts and Implications of Wages For Caring

11: Stakeholders' Perception in Compensating Family Care: Whose Life is It, Anyway?

12: Toward a More Just and Responsive Policy

Bibliography

Index

About the Authors
8 .

Consumer Voice and Choice in Long-Term Care
by Suzanne R. Kunkel, Valerie Wellin. 272 pgs.

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Contents

Contributors

Acknowledgments

Introduction

1: Older Consumers and Decision Making

2: Choice and the Institutionalized Elderly

3: History of and Lessons from the Cash and Counseling Demonstration and Evaluation

4: A Description of Racial/Ethnic Differences regarding Consumer-Directed Community Long-Term Care

5: Case Managers' Perspectives on Consumer Direction

6: Integrating Occupational Health and Safety into the United States' Personal Assistance Services Workforce Research Agenda

7: Backs to the Future

8: Capturing the Voices of Consumers in Long-Term Care

9: Caregivers as Consumers

10: The Consumer/Provider Relationship as Care Quality Mediator

11: Resident Satisfaction with Independent Living Facilities in Continuing Care Retirement Communities

12: Common or Uncommon Agendas

13: Scrutinizing Familial Care in Consumer-Directed Long-Term Care Programs

14: Gifts or Poison?

15: Response to Quality

16: When Consumer Direction Fails

Index
9 .

Strategies for Therapy with the Elderly: Living with Hope and Meaning
by Claire M. Brody, Vicki G. Semel. 278 pgs.

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Contents

Contributors

Foreword

Preface

Acknowledgments

1: Stress and Mental Health in the Elderly

2: Psychotherapeutic Interventions for Older Persons with Dementing Disorders

3: Working with Staff, Families, and Residents in an Institution

4: Reminiscence Groups with Women in a Nursing Home

5: Mothers and Daughters

6: Working with Alzheimer's Disease Residents of a Nursing Home

7: Caregiving

8: Housing and Community Options

9: Therapeutic Activity Programs for Assisted Living Facilities

10: Individual Treatment of a Borderline Older Woman

11: Modern Psychoanalytic Therapy with an Aging Man

12: Private Practice with the Aging Couple

13: Countertransference and Ageism

14: The Political Reality of Medicare

Index
10 .

Older People and Community Care: Critical Theory and Practice
by Beverley Hughes. 162 pgs.

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Contents

Series Editor's Preface

Preface

Acknowledgements

Introduction: Understanding the Nhs and Community Care Act

Part I: Knowledge and Values

1: Theories of Ageing

2: The Social Condition of Older People

3: Ageism and Anti-Ageist Practice

Part II: Skills

4: Communicating with Older People: The Professional Encounter

5: Assessment

6: Implementing and Managing Care

7: Direct Work with Users and Carers

8: Protection

9: Conclusion: Challenges and Priorities

References

Index
11 .

Captive Populations: Caring for the Young, the Sick, the Imprisoned, and the Elderly (Chap. 5 "The Elderly, Long-Term Care, and Home-Based Services")
by Jennie Jacobs Kronenfeld, Marcia Lynn Whicker. 196 pgs.

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Contents

Preface

1: The Public Versus the Private Sector

References

2: Schools and Day Care

References

3: The Incarcerated

References

4: The Sick and the Health Care System

References

5: The Elderly, Long-Term Care, and Home-Based Services

References

6: Summary and Conclusions

References

Bibliography

Subject Index

Author Index

About the Authors
12 .

Family Time: The Social Organization of Care (Part III "Valuing Childcare and Elder Care")
by Nancy Folbre, Michael Bittman. 243 pgs.

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One of the central issues within feminist economics is unpaid work. There is a strong feeling that conventional economics fails to properly measure the benefits to society of looking after a household and caring for our families. This title examines issues relating to this subject.

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Contents

Figures

Tables

Acknowledgments

Introduction

Part I: The Big Picture

1: A Theory of the Misallocation of Time

2: Family Time and Public Policy in the United States

Part II: Using the Yardstick of Time to Capture Care

3: Activity, Proximity, or Responsibility?

References

4: Making the Invisible Visible

Part III: Valuing Childcare and Elder Care

5: Bringing Up Bobby and Betty

Notes

6: Valuing Informal Elder Care

Note

Part IV: Parenting, Employment, and the Pressures of Care

7: Packaging Care

Notes

8: Parenting and Employment

Notes

9: The Rush Hour

Part V: International Comparisons

10: A Tale of Dual-Earner Families in Four Countries

11: Parenthood Without Penalty

Note

Index
13 .

Women in the Middle: Their Parent Care Years (Chap. 4 "Values about Women's Roles and Care of the Aged")
by Elaine M. Brody. 372 pgs.

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Contents

Foreword by Barry D Lebowitz, Ph.D

Acknowledgments

Introduction

Chapter 1: Women in the Middle

Chapter 2: Scope of Parent Care

Chapter 3: The Effects of Caregiving

Chapter 4: Values about Women's Roles and Care of the Aged

Chapter 5: Introduction

Chapter 6: on Becoming the Primary Caregiver

Chapter 7: Six Major Subjective Themes and a Variation

Chapter 8: Diversity in Ages and Stages

Chapter 9: Diversity in Marital Status

Chapter 10: Married Daughters (And Their Husbands and Children)

Chapter 11: Daughters without Partners

Chapter 12: Caregiving Daughters-In-Law (The Proxy Primaries)

Chapter 13: Commentary on the Marital Status Case Studies

Chapter 14: Diversity in Work Status

Chapter 15: Racial & Ethnic Diversity

Chapter 16: Nursing Home Placement

Chapter 17: Some Developments in Community Services and Residential Settings

Chapter 18: Unfinished Business on the Parent Care Agenda

References

Index
14 .

Handbook on Ethical Issues in Aging
by Tanya Fusco Johnson. 420 pgs.

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Because long-term aging has created a "new generation" of older adults, some new issues are emerging which need to be addressed from an ethical perspective--elder abuse, physician assisted suicide, dementia, intergenerational equity, guardianship, and living wills. Johnson offers both a resource on ethics and aging with a historical perspective and policy recommendations for the future with an ethical emphasis.

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Contents

Preface

1: Ethical Issues: in Whose Best Interest?

2: Ethical Issues in a Subculturally Diverse Society

3: Ethical Issues in a Religiously Diverse Society

4: Ethical Issues in Spiritual Care

5: Ethical Issues in Medical Care

6: Ethical Issues in the Quality of Care

7: Ethical Issues in Terminal Care

8: Ethical Issues in the Care of the Judgment Impaired

9: Ethical Issues in Mental Health Care

10: Ethical Issues in Personal Safety

11: Ethical Issues in Nonfamily Care

12: Ethical Issues in Family Care

13: Ethical Issues in Legal Care

14: Ethical Issues in a High-Tech Society

15: Ethical Issues in Research on Aging

16: Ethical Issues in Long-Term Care

17: Ethical Issues in Decision Making: a Balanced Interest Perspective

18: Ethical Issues in Aging: Synthesis and Prospects for the Twenty-First Century

References

Author Index

Subject Index

About the Editor and Contributors
15 .

Long-Term Care and Ethnicity (Chap. Six "Determinants of Applications for Nursing Home Placement among Frail African American and White Elders" and Chap. Seven "Utilization of In-Home and Community-Based Services among White, African American, and Hispanic Elders")
by Ada C. Mui, Namkee G. Choi, Abraham Monk. 222 pgs.

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Despite the rapid aging of the population and the tremendous growth in ethnic and racial diversity among the elderly in our society, empirical studies on long-term care needs and service use of minority elders have been lacking. Based on two national datasets, this is the first comprehensive analysis of long-term care needs, patterns, and determinants in-home, community-based, and nursing home service utilization and informal support among African American and Hispanic elders, as compared to those of their non-Hispanic White counterparts. The authors also compare caregiver burden within the three groups and present recommendations for ethnic-sensitive long-term care policy and practice for minority elders.

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Contents

Preface

Chapter One Introduction

Chapter Two Data Sources and Profiles of the Samples

REFERENCES

Chapter Three: Psychological Symptomatology among African American, Hispanic, and White Frail Elders

REFERENCES

Chapter Four Perceived Health, Financial Strain, and Psychological Distress Among Mexican American, Cuban American, and Puerto Rican Elders

Chapter Five Determinants of Applications for Nursing Home Placement: a National Perspective

REFERENCES

Chapter Six Determinants of Applications for Nursing Home Placement Among Frail African American and White Elders

REFERENCES

Chapter Seven: Utilization of In-Home and Community-Based Services among White, African American, and Hispanic Elders

REFERENCES

Chapter Eight Use of In-Home and Community-Based Services Among Mexican American, Cuban American, and Puerto Rican Elders

REFERENCES

Chapter Nine: Living Arrangements and Utilization of Formal Services

REFERENCES

Chapter Ten Ethnicity, Informal Caregiving, and Caregiver Burden

REFERENCES

Chapter Eleven Conclusion: Practice and Policy Implications

Index

ABOUT THE AUTHORS
16 .

Promoting Health in Old Age: Critical Issues in Self Health Care
by Miriam Bernard. 194 pgs.

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Contents

Series Editor's Preface

Preface and Acknowledgements

1: The Challenge of an Ageing Population

2: Promoting Health in Old Age

3: Perspectives on Self Health Care

4: Developments in Self Health Care

5: Self Health Care in Practice: The Self Health Care in Old Age Project

6: Research in Action: Evaluating the Self Health Care in Old Age Project

7: Self Health Care in Action: Participation, Accessibility and Informed Choice among Older People

8: Self Health Care in Action: Skills Development and Empowerment among Older People

9: Self Health Care in Action: Its Impact on Volunteers and Staff

10: Learning the Lessons: The Role of Self Health Care in Future Policy and Practice

References

Index

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